<div class="ui raised very padded text segment">
    <div class="ui form">
        <%=cityTpl%>
        <div class="inline fields">
            <label for="region">区域内容</label>
            <div class="field">
                <input class="five-input" type="text" name="region" placeholder="西安三环内任意地址">
            </div>
        </div>
        <div class="inline fields">
            <button class="ui button" id="areaAddBtn" type="submit">提交</button>
        </div>
    </div>
</div>
